Research Library

The U.S. health care system is grappling with a severe labor shortage, worsened by the long-term effects of the COVID-19 pandemic and an aging population. A new report from the Center for the U.S and Mexico offers recommendations to address the sector’s needs, including expanding visa availability, reforming occupational licensing, specializing recruitment, and streamlining the immigration process.

Both presidential candidates have endorsed a policy of no tax on tips. But would this approach really help the low-income workers it’s meant to support? Fellow Joyce Beebe reviews the current tax treatment of tip income, summarizing the main arguments against such a policy, potential impacts, and possible alternatives

Texas hospitals perform more reduced-cost care charity care than most of in the country, yet many eligible patients miss out on free or discounted care, leading to medical debt. This new brief examines how Texas nonprofit hospitals handle and report debt, as well as the necessary improvements currently manage and report bad debt and outlines how to address these gaps.

Health care providers now screen patients for social determinants of health, also known as non-medical drivers of health, and many rely on referrals to community-based organizations (CBOs) to address those needs. Strengthening CBOs and enhancing collaboration with health care organizations is essential. In a new brief, nonresident fellow Dr. Sheela Gavvala and co-authors offer policy recommendations to close the loop and ensure patients receive the care they need within a cohesive system.

A recent Congressional Budget Office report predicts a significant increase in immigration that could boost federal revenue by nearly $1 trillion over the next decade. A new brief by Bill King, John W. Diamond, and Joyce Beebe examines the federal budget benefits and potential state and local financial strains, while urging policymakers to focus on long-term economic growth and meaningful measures for standards of living beyond short-term GDP gains.

The prices of U.S. hospital services have surged exponentially over the last two decades, outpacing inflation and rates of other medical services. A new report by Derek Jenkins, Sasathorn Tapaneeyakul, and Vivian Ho unpacks whether rising operational costs justify increased prices or if hospital profits are driving this price escalation.

Addressing non-medical drivers of health (NMDOH) is crucial to improving health outcomes and containing health care costs. A brief by Jacquie Klotz, Charles W. Mathias, and Elena M. Marks reports findings from policy crowdsourcing workshops. Researchers, practitioners, and policymakers joined the Texas NMDOH Consortium to collaborate on identifying NMDOH policy opportunities in Texas. In the Fall of 2024, the Texas NMDOH Consortium will publish policy recommendations to elaborate on opportunities to advance the integration of non-medical interventions into the health care system.

Medical providers are increasingly asking patients about their access to food, housing, and transportation. In this commentary, fellow Elena M. Marks explores how this type of screening for non-medical needs offers significant benefits for both patients and providers — even when providers cannot address those needs.

The U.S. faces worsening maternal health disparities and mortality rates due to lack of access and unaddressed systemic barriers to health. In an issue brief, fellow McClain Sampson and co-author Priscilla P. Kennedy summarize the Biden-Harris Maternal Health Blueprint to achieve maternal health equity through a comprehensive approach and also describe a model of care for Medicaid recipients that is aligned with the Blueprint.

Non-medical drivers of health, also known as social determinants of health, have a significant impact on health outcomes. As fellow Sandra McKay and her co-authors explain, adequate funding to identify and address non-medical drivers — housing and food insecurity, transport issues, and financial strain — can improve patients’ health and health care delivery systems, while also reducing costs.